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Inspection on 14/04/08 for Adamscourt Residential Care Home

Also see our care home review for Adamscourt Residential Care Home for more information

This inspection was carried out on 14th April 2008.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents` needs are assessed prior to their being offered a place at the home. Resident`s health needs are met through the home`s care planning arrangements. Residents are treated with respect and dignity and their medication administered safely. Activities are arranged for residents and they are involved in choosing activities through residents` meetings.Residents can receive visitors and maintain contact with family and friends. A good standard of food is provided at the home. There is a well-publicised complaints procedure and the staff are trained in adult protection. Adamscourt provides a `homely`, clean and well-maintained environment. There is a long-standing staff team who are well trained. The home is well managed and run in the interests of the residents.

What has improved since the last inspection?

Residents and relatives are now informed in writing that their need can be met at the home following the pre-admission of need. A better system for auditing medication brought into the home has been put in place. A visit has been requested by an occupational therapist to assess the home.

What the care home could do better:

To meet new Regulations, a new controlled drugs storage facility must be purchased. Newly appointed staff must not start working with residents until the return of a check against the register of adults deemed unsuitable to work with vulnerable adults.It is recommended that a max/min thermometer be purchased to monitor temperatures of the fridge where medications that required refrigeration are stored. It is recommended that where hand entries have to be made to the printed medication administration record, a second member of staff checks and signs that the record is accurate. It is recommended that procedures be developed for cleaning commodes and that an alcohol gel sanitizer is provided in the laundry room. It is recommended that the staff application form be reviewed to seek information in line with the Regulations.

CARE HOMES FOR OLDER PEOPLE Adamscourt Residential Care Home 7 Talbot Avenue Talbot Woods Bournemouth Dorset BH3 7HP Lead Inspector Martin Bayne Unannounced Inspection 14th April 2008 09:15 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Adamscourt Residential Care Home Address 7 Talbot Avenue Talbot Woods Bournemouth Dorset BH3 7HP 01202 529855 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Sheila Burden Miss Beverly Ann McNulty Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That only mobile residents be accommodated on the second floor. Date of last inspection 1st June 2006 Brief Description of the Service: Adamscourt is registered as a care home for older people and is currently registered to accommodate up to 25. The home is located in the Talbot Woods area of Bournemouth. Accommodation is provided mainly on 2 floors, there is a passenger lift. There are 3 bedrooms on the 2nd floor, which are accessed via a flight of stairs. 18 of the rooms have en-suite facilities and 4 bedrooms are registered as doubles. The mature garden has some seating for residents. There are two communal lounges and seating in the small conservatory. The dining room is adjacent to the smaller of the two lounges. There is a small area for car parking at the front of the home. The home is situated on a main road into Bournemouth and close to public transport links into the neighbouring town of Poole. The fees for the home range from £440 - £550 per week. Details of additional charges are detailed within the Terms and Conditions of Residence. Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. We, the Commission, carried out a key inspection of the home between 9:15am and 2:15pm. The aim of the inspection was to evaluate the home against the key National Minimum Standards for older people and to follow up on the two requirements and four recommendations made at the last key inspection in June 2006. Since the last inspection new manager, Mrs McNulty, has been registered as manager of the home and both she and Mrs Burden, the Registered Provider, assisted us throughout the inspection. We carried out a tour of the home, tracked the records of two residents admitted to the home since the last inspection and talked with four residents and one member of staff about their experience of the home. Comment cards were also sent out to be distributed to residents, staff, relatives and social and health care professionals. Information received from these comment cards was also used to help form the judgements contained within this report. 5 comment cards were returned by staff, 4 by residents, 3 from relatives and 1 from a GP. What the service does well: Residents’ needs are assessed prior to their being offered a place at the home. Resident’s health needs are met through the home’s care planning arrangements. Residents are treated with respect and dignity and their medication administered safely. Activities are arranged for residents and they are involved in choosing activities through residents’ meetings. Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 6 Residents can receive visitors and maintain contact with family and friends. A good standard of food is provided at the home. There is a well-publicised complaints procedure and the staff are trained in adult protection. Adamscourt provides a ‘homely’, clean and well-maintained environment. There is a long-standing staff team who are well trained. The home is well managed and run in the interests of the residents. What has improved since the last inspection? What they could do better: To meet new Regulations, a new controlled drugs storage facility must be purchased. Newly appointed staff must not start working with residents until the return of a check against the register of adults deemed unsuitable to work with vulnerable adults. Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 7 It is recommended that a max/min thermometer be purchased to monitor temperatures of the fridge where medications that required refrigeration are stored. It is recommended that where hand entries have to be made to the printed medication administration record, a second member of staff checks and signs that the record is accurate. It is recommended that procedures be developed for cleaning commodes and that an alcohol gel sanitizer is provided in the laundry room. It is recommended that the staff application form be reviewed to seek information in line with the Regulations. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from their needs being assessed prior to being offered a place at the home. EVIDENCE: We looked at the personal files of two residents admitted to the home since the last inspection in June 2006, and used these files as examples of the records that the home is required to keep concerning residents. We found that both these residents had been visited by the manager for an assessment of their need prior to their being offered a place at the home. We saw records of these assessments. Mrs McNulty informed that where possible residents or relatives are invited to view the home so that they are involved in choosing the home. Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 10 We found that where residents were being placed at the home through local care management arrangements, a copy of the care management assessment and care plan was obtained as part of the pre-admission assessment process. Mrs McNulty told us that prospective residents and relatives are given a copy of the home’s Service User Guide to assist them in choosing a home. At the last inspection a requirement was made that prospective residents and relatives are informed in writing when an offer is made of a place at the home, to inform that their needs can be met at the home. We found that this inspection that such letters had been sent out as required following the preadmission assessment of need. The home does not provide an intermediate care service. Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from health needs being met through the care planning and risk assessment procedures and good medication administration. EVIDENCE: We found care plans had been developed from the assessments for the two residents who we tracked through the inspection. Mrs McNulty told us that she had put a new care planning system in place since taking up as manager of the home. We found that the plans were informative, concise and covered all the areas of need identified in the assessment, informing how staff were to assist residents. The care plans were linked to risk assessments that had been written to minimise the risk of harm in meeting the care plan objectives. These included a full moving and handling assessment, general risk Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 12 assessment and an assessment concerning residents’ capacity with reference to the Mental Capacity at 2005. A photograph was at the front of the person’s file so that the resident could be easily identified. The care plans had been signed by either the resident or their relatives indicating that they had been involved in the care planning process. Care plans were being reviewed each month as required. We found that the health needs of residents were being met at the home. Residents we spoke with gave examples of where doctor’s appointments were organised on their behalf appropriately and they informed that their health needs were being met. We also saw within the care plans and daily records that appropriate interventions were being sought from district nurses and other health professionals. We found that two chiropodists visit the home six weekly and that arrangements are made to meet dentistry needs of residents. At the time of the inspection we observed the interaction between residents and staff. There appeared to be good relations between the two and staff were observed to treat residents with respect and dignity. The residents we spoke with said that the staff were kind, courteous and that their call bells were responded to appropriately by the staff. At the last inspection recommendations were made concerning medication administration. We found that this inspection that Mrs McNulty had put in place better systems to ensure that there was a clear audit trail of medicines brought into the home as recommended. The recommendation that the medication administration records should record known allergies had also been put in place. We looked at all the medication administration records for the all the residents and found that these were being completed correctly with no gaps in the records. It is recommended that where any hand entries have to be made to the medication administration records, a second member of staff checks the record and then signs that the record has been completed correctly. This system should ensure that there are no transposing errors made when alterations have to be made to the printed medication records. The home use as a unit dosage system and medicines are delivered to the home by the pharmacist. We saw training records to reflect that all members of staff who administer medication to residents have been trained in safe administration of medicines. The home has a lockable purpose-built medication trolley that is locked to the wall so that medicines are stored safely. We saw that medicines were being stored correctly within the medication cabinet for non-controlled medications; however in order to comply with new regulations, a new facility requires to be purchased for controlled drugs. It is recommended that a max/min thermometer be purchased to monitor temperatures of the fridge where medications that required refrigeration are stored. Returned comment cards reported: Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 13 • • ‘medical problems are taken care of immediately’ Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from being involved in choosing activities that meet their social and recreational needs, from being offered a good standard of food and being able to keep in contact with friends and family. EVIDENCE: The residents we spoke with said that they were supported to live their lives as they chose. They informed that they could get up and go to bed when they wanted and that through the monthly residents meetings they had a voice in choosing activities, menus and routines of the home. A list of weekly activities was displayed on the residents’ notice board. Communal activities are organised each day. At the time of this inspection an entertainer was visiting the home. We saw the activities book, in which a Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 15 record is maintained of individual and communal activities as well as the residents who took part. We saw that as part of the assessment process people’s spiritual and religious needs are assessed. A Church of England Holy Communion service is held in the home each month. One resident is visited by a priest for Mass and another resident is supported to attend a Free Church service in the community. Residents receive their mail unopened and there is the residents’ phone in the reception area. On the day of inspection a group of residents were taken out for a walk accompanied by a member of staff. Residents have access to an enclosed well maintained garden. Concerning food, all of the residents we spoke with said that the standard of food was as good with a choice of meal provided for both lunch and supper. Residents are able to choose what they like for breakfast and this served in their room or in the dining room. On the day of the inspection the midday meal was a choice of beef pie or grilled bacon and with vegetables followed by a choice of dessert. The residents informed that staff knew of their food likes and dislikes and were accommodating in providing food that they liked. The home has recently been visited by the Environmental Health Officer and issues identified at that time had been addressed. Returned comment cards reported: • ‘My relative is kept immaculately clean and groomed, (as well as being given good food’. • ‘The manager is excellent at organising all sorts of activities’. Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well-publicised complaints procedure and through staff being trained in adult protection. EVIDENCE: Since the last key inspection in June 2006 there have been no complaints made to the Providers and none have been brought to the attention of the Commission. The complaints procedure is detailed in the Service User Guide and also within the Terms and Conditions of Residence. Residents and relatives are given copies of these documents on admission so that they are well informed of how to make a complaint. It was agreed that for new residents being admitted to the home, they are provided with the new contact details of the Commission. The home has comprehensive policies and procedures in relation to the protection of vulnerable adults that link to the local ‘Safeguarding’ arrangements. All new members of staff receive training in adult protection as part of their induction. Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 17 Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a clean, ‘homely’ and well-maintained environment. EVIDENCE: On the day of visit the home was found to be in good decorative order, clean with no unpleasant smells. The main lounge is located on the ground floor but there are also small seating areas on all floors of the home. Residents also have a separate dining room and a conservatory for their use. There is also an enclosed and wellmaintained garden. We saw that grab rails and other aids including hoists and Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 19 assisted bath seats were in place to assist residents with mobility problems. The home has an emergency call system with residents telling us a call bells were being responded to appropriately. We spoke with two residents in their bedrooms and it was evident that they were able to personalise their rooms with possessions and furniture. At the last inspection it was recommended that a qualified person such as an occupational therapist assess the premises. We were informed at this inspection that a request had been made for an occupational therapist to carry out an assessment concerning one resident who had increased mobility difficulties. The recommendation has therefore been complied with. To protect residents from hot surfaces and scalding water, the home has low surface temperature radiators and thermostatic mixer valves fitted to the hot water outlets of the baths. The laundry area is sited away from food storage and preparation areas. It was noted that within the laundry room and there was only one sink when preferably there should be a separate sink for hand washing. It is recommended that procedures be put in place with an alcohol gel dispenser to maintain infection control standards. As the home does not have a separate sluicing area for washing commodes, it is also recommended that procedures for cleaning commodes be put in place. Returned comment cards reported: • ‘Everywhere is fresh and clean’. Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from the home having a well-trained staff team and their needs being met, however their protection could be compromised by recruitment procedures. EVIDENCE: The home is currently in the process of applying for a variation to accommodate people in the category of dementia. We were informed that since the last inspection in June 2006, staffing levels have been increased with a view to the new registration category. Between 8am and 2pm, four carers are now on duty and between 2pm and 8pm, three carers. During the nighttime period there are two awake members of staff on duty in the home. In addition to the carers, the home employs a manager, domestic staff and a cook. The manager informed that the current levels of staffing met the needs of residents and this was corroborated through the returned comment cards and from speaking to residents. We saw a staffing roster that reflected the above staffing levels. Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 21 The home employs a staff team of 14 carers, of which 10 have achieved NVQ level 2 or above. We were also told that three staff are currently undertaking an NVQ level 3. The home therefore meets the standard of at least 50 of the staff being trained to NVQ level 2 or above. Concerning staff training we were shown a matrix that listed training achievements of the staff. We were told that there is ongoing staff development through supervision and annual appraisals to ensure that staff receive the training required to carry out their duties. We looked at training records for two members of staff and saw certificates for all mandatory training such as moving and handling, fire safety, health and safety, basic food hygiene, first aid, at protection, medication, dementia, challenging behaviour and the Mental Capacity Act. A requirement was made at the last inspection concerning a member of staff who had started working with residents prior to their being checked against the register of adults deemed unsuitable to work with vulnerable adults, (POVAFirst). We looked at the staff recruitment records for two members of staff who had been recruited to the staff team since the inspection in June 2006. We found that all the requirements of Schedule 2 of the Regulations had been complied with the exception of one member of staff who again had started work before the return of the POVAFirst check. This was discussed with the manager and the requirement remains in place. Failure to comply with this requirement will result in enforcement action. This will be monitored at the next inspection. We also recommend two changes to the staff application form. A reference should be requested from a person’s last place of employment when working with children or value vulnerable adults of not less than three months, and where a person has left a care position, they should also be asked to state the reason why they left this employment. Returned comment cards reported: • ‘The staff exercise great patience and care. I could not wish for better’. Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the interests of the residents. EVIDENCE: As reported earlier, Mrs McNulty has been registered with the Commission to run the home. Mrs McNulty has had five years experience of managing a previous home and has achieved NVQ level 4 in management and care and the Registered Manager’s Award. Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 23 We found that the home was being well managed with positive feedback from both staff and residents. We were also able to see the results of the homes quality assurance survey involving residents and relatives. In general there was also very good feedback with relatives reporting that they have peace of mind concerning their relatives and residents reporting that it was a ‘home from home’. Residents are encouraged to be involved in the running of the home through the monthly residents meetings. We also saw that a monthly newsletter is written to both inform and keep residents involved in matters relating to the home. Mrs McNulty informed us that the home does not safe keep any money on behalf of residents. Returned comment cards reported: • ‘The care home is very professionally run and the management and staff are open and approachable’. Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 (2) Requirement It is required that the home purchase a controlled drugs facility that meets new Regulations. CRB disclosures and POVA or POVA 1st checks must be obtained prior to any staff working at the home. This requirement is repeated from the last key inspection. Failure to comply will result in enforcement action. Timescale for action 19/05/08 2. OP29 19 05/05/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations It is recommended that: • where any hand entries have to be made to the medication administration records, a second DS0000043290.V361654.R01.S.doc Version 5.2 Page 26 Adamscourt Residential Care Home • member of staff checks the record and then signs that the record has been completed correctly. a max/min thermometer is purchased to monitor temperatures of the fridge where medications that required refrigeration are stored. 2. OP26 It is recommended that: • an alcohol gel dispenser is made available in the laundry room to maintain infection control standards. • that procedures for cleaning commodes be put in place. It is recommended that: • the staff application form is amended to seek a reference from a person’s last place of employment when working with children or value vulnerable adults of not less than three months. • where a person has left a care position, they should also be asked to state the reason why they left this employment. 3. OP29 Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Adamscourt Residential Care Home DS0000043290.V361654.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!